API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-01 08:14:11.143718 | 2025-12-02 01:42:33.507035 | 15391745 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15391745 | Athletic Physical Therapy Inc | 1959-12-29 | 2025-12-04 | F | AE | PT | LYGA | 3W97CK7AN48 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.181921369.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11604276/check_15391745_8c5b8d8a-0495-4b81-9fcd-079cbde1e8b9.json | N/A | N/A | N/A | N/A | N/A | 3W97CK7AN48 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-12-29 | S5596 | N/A | N/A | MB | false | LYGA | N/A | LISA | N/A | N/A | N/A | N/A | N/A | 19844 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9408287668 | N/A | N/A | 11604276 | 2222 | 4801 | 15651970 | N/A | 4218962 | 2025-12-02 01:42:33.507035 | 2025-05-13 04:29:37.229978 |
| 2025-12-01 08:13:50.413517 | 2025-12-02 01:43:58.667224 | 15391444 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15391444 | Athletic Physical Therapy Inc | 1943-09-02 | 2025-12-03 | F | AE | PT | Frank | 0017215132 | Carolyn | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.175218240.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12895085/check_15391444_7942c7ab-3371-4b85-ba67-63d05abc3d31.json | N/A | N/A | N/A | N/A | N/A | 0017215132 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1943-09-02 | N/A | N/A | N/A | N/A | false | FRANK | N/A | CAROLYN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9408020459 | N/A | N/A | 12895085 | 2222 | 4802 | 15656024 | N/A | 11057875 | 2025-12-02 01:43:58.667224 | 2025-11-17 17:09:13.974870 |
| 2025-12-01 08:12:28.269675 | 2025-12-02 01:44:39.997363 | 15389259 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15389259 | Athletic Physical Therapy Inc | 1955-08-03 | 2025-12-03 | M | AE | PT | Eisenberg | 000000569463 | Paul | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.172116487.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12524155/check_15389259_50fa95ea-4bae-4e0b-8a2f-b006907dce8c.json | N/A | N/A | N/A | N/A | N/A | 000000569463 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1955-08-03 | 4295404 | 1650095002 | N/A | N/A | false | EISENBERG | N/A | PAUL | N/A | N/A | N/A | KPSA CONVERSION - SOUTH KPSA CONVERSION - SOUTH | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407665399 | N/A | N/A | 12524155 | 2222 | 4802 | 15657826 | N/A | 10696748 | 2025-12-02 01:44:39.997363 | 2025-11-10 21:50:10.385299 |
| 2025-12-01 08:11:54.126103 | 2025-12-02 01:46:37.390025 | 15387952 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15387952 | Athletic Physical Therapy Inc | 1949-05-18 | 2025-12-03 | F | AE | PT | Burk | 5Y14AG3HK78 | Celine | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.175218240.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12839893/check_15387952_bc45c185-0bf9-4574-9732-43a53fd96ed1.json | N/A | N/A | N/A | N/A | N/A | 5Y14AG3HK78 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-05-18 | S5921 | N/A | N/A | MA | false | BURK | N/A | CELINE | N/A | N/A | N/A | N/A | N/A | 410263 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9408017672 | N/A | N/A | 12839893 | 2222 | 4802 | 15662587 | N/A | 11004269 | 2025-12-02 01:46:37.390025 | 2025-11-14 23:42:44.614455 |
| 2025-12-01 08:11:53.773303 | 2025-12-02 03:35:49.373011 | 15387940 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15387940 | Athletic Physical Therapy Inc | 1959-12-29 | 2025-12-04 | F | AE | PT | LYGA | LPZ819A58009 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.175214614.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549257/check_15387940_4f6ddd42-b9c9-40d3-9082-ea042570d6a8.json | N/A | N/A | N/A | N/A | N/A | LPZ819A58009 | Preferred Provider Organization (PPO) | LOS ANGELES POLICE RELIEF ASN INC | MEDICARE D | N/A | 1959-12-29 | 040 | 1841UV | N/A | PR | false | LYGA | N/A | FRANK | N/A | 9999-12-31 | 2024-12-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9408017940 | N/A | N/A | 5549257 | 2222 | 4801 | 15677706 | N/A | 4218962 | 2025-12-02 03:35:49.373011 | 2025-05-13 04:29:37.229978 |
| 2025-12-01 08:11:51.997663 | 2025-12-02 03:35:49.094737 | 15387868 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15387868 | Athletic Physical Therapy Inc | 1948-08-18 | 2025-12-04 | M | AE | PT | EDA | 776A78714 | MASAAKI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.175214614.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543332/check_15387868_4e75bef4-ae3b-4123-b918-523165baa996.json | N/A | N/A | N/A | N/A | N/A | 776A78714 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1948-08-18 | N/A | N/A | N/A | N/A | false | EDA | N/A | MASAAKI | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9408017929 | N/A | N/A | 5543332 | 2222 | 4802 | 15677703 | N/A | 4215140 | 2025-12-02 03:35:49.094737 | 2025-05-13 04:29:37.229453 |
| 2025-12-01 08:11:51.698314 | 2025-12-02 03:35:49.680704 | 15387858 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15387858 | Athletic Physical Therapy Inc | 1949-07-06 | 2025-12-04 | M | AE | PT | SILVERMAN | XDD460A67934 | LAWRENCE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.175214614.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541611/check_15387858_7a66e6b1-d404-4cec-9bc3-0e193b9c3d46.json | N/A | N/A | N/A | N/A | N/A | XDD460A67934 | Supplemental Policy | LOS ANGELES COUNTY EMPLOYEE RETIREMENT ASSOC | MEDICARE B | N/A | 1949-07-06 | 040 | 1264MD | N/A | SP | false | SILVERMAN | N/A | LAWRENCE | N/A | 9999-12-31 | 2016-04-01 | MEDICARE SUPPLEMENT-PBP PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9408017928 | N/A | N/A | 5541611 | 2222 | 4793 | 15677709 | N/A | 4213611 | 2025-12-02 03:35:49.680704 | 2025-05-13 04:29:37.227938 |
| 2025-12-01 08:11:51.621989 | 2025-12-02 01:42:16.578085 | 15387855 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 15387855 | Athletic Physical Therapy Inc | 2010-03-18 | 2025-12-04 | M | PT | N/A | MARTIN | XEH906532391003 | CHRISTOPHER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171814170.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6967909/check_15387855_1b1a6cb4-148f-432f-bced-eaff23922b4f.json | N/A | N/A | N/A | N/A | N/A | XEH906532391 | Health Maintenance Organization (HMO) | WILD WONDER LLC | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2010-03-18 | 1000VX000101 | W0099153 | N/A | HM | false | MARTIN | N/A | ELIZABETH | N/A | 2029-03-31 | 2018-06-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9407631341 | N/A | N/A | 6967909 | 2222 | 4793 | 15651280 | N/A | 5990447 | 2025-12-02 01:42:16.578085 | 2025-07-21 18:40:33.917911 |
| 2025-12-01 08:11:51.309404 | 2025-12-02 03:34:03.737400 | 15387840 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 15387840 | Athletic Physical Therapy Inc | 1958-02-17 | 2025-12-04 | F | AE | PT | MASATANI | U0538822602 | LAURA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.175214614.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538411/check_15387840_d57f2990-9a6a-42b9-97d3-719aff017879.json | N/A | N/A | N/A | N/A | N/A | U0538822602 | N/A | MIZUHO BANK, LTD | CHLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PREFERRED CARE MANAGEMENT | 1958-02-17 | N/A | 3207232 | N/A | N/A | false | MASATANI | N/A | LAURA G | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9408017927 | N/A | N/A | 5538411 | 2222 | 4802 | 15676557 | N/A | 4210838 | 2025-12-02 03:34:03.737400 | 2025-05-13 04:29:37.225242 |
| 2025-12-01 08:11:50.978649 | 2025-12-02 03:37:33.913998 | 15387824 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 15387824 | Athletic Physical Therapy Inc | 1946-06-01 | 2025-12-04 | F | AE | PT | AMIRI | 5A52N18CA24 | POURAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.175214614.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538157/check_15387824_ee44e406-e946-49cd-8e83-e4a5d15862d6.json | N/A | N/A | N/A | N/A | N/A | 5A52N18CA24 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1946-06-01 | N/A | N/A | N/A | N/A | false | AMIRI | N/A | POURAN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9408017926 | N/A | N/A | 5538157 | 2222 | 4802 | 15678812 | N/A | 4210607 | 2025-12-02 03:37:33.913998 | 2025-08-01 18:31:38.620742 |
| 2025-12-01 08:11:50.329288 | 2025-12-02 03:32:08.344994 | 15387802 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 15387802 | Athletic Physical Therapy Inc | 1945-09-15 | 2025-12-04 | F | AE | PT | KHORSANDI | 02684303511 | PARIVASH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.175214614.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536016/check_15387802_d85ff547-99f9-4397-99b4-73ac31ef24eb.json | N/A | N/A | N/A | N/A | N/A | 34309193111 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1945-09-15 | N/A | N/A | N/A | SP | false | KHORSANDI | N/A | PARIVASH | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9408017925 | N/A | N/A | 5536016 | 2222 | 4802 | 15675307 | N/A | 4208831 | 2025-12-02 03:32:08.344994 | 2025-10-30 22:42:31.399473 |
| 2025-12-01 08:11:49.692869 | 2025-12-02 03:32:08.613607 | 15387783 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 15387783 | Athletic Physical Therapy Inc | 1939-10-22 | 2025-12-04 | M | AE | PT | ODONNELL | 02722745411 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.175214614.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535496/check_15387783_d8f7d280-ed2d-4af8-aff8-3d543d7b82ad.json | N/A | N/A | N/A | N/A | N/A | 02722745411 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1939-10-22 | N/A | N/A | N/A | SP | false | O DONNELL | N/A | JOHN | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9408017924 | N/A | N/A | 5535496 | 2222 | 4802 | 15675310 | N/A | 4208408 | 2025-12-02 03:32:08.613607 | 2025-05-13 04:29:37.222823 |
| 2025-12-01 08:11:33.879751 | 2025-12-02 01:48:07.379399 | 15387035 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15387035 | Athletic Physical Therapy Inc | 1956-07-15 | 2025-12-02 | M | AE | PT | Raudonis | 4QT6EC7VG78 | Mark | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.172116487.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12493577/check_15387035_626dc531-2659-4300-b97e-0743ff20db8a.json | N/A | N/A | N/A | N/A | N/A | 4QT6EC7VG78 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-07-15 | S4802 | N/A | N/A | MA | false | RAUDONIS | N/A | MARK | N/A | N/A | N/A | N/A | N/A | 45539 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407664661 | N/A | N/A | 12493577 | 2222 | 4793 | 15666071 | N/A | 10670073 | 2025-12-02 01:48:07.379399 | 2025-11-10 18:20:04.243140 |
| 2025-12-01 08:11:32.751793 | 2025-12-02 01:44:50.636746 | 15386985 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15386985 | Athletic Physical Therapy Inc | 2008-09-26 | 2025-12-03 | M | PT | N/A | McNulty | NSA00515638H | Colton | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.172116487.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12493147/check_15386985_712f3556-fdcb-4508-99a8-bcd11b4abb20.json | N/A | N/A | N/A | N/A | N/A | NSA00515638H | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2008-09-26 | N/A | N/A | N/A | N/A | false | MCNULTY | N/A | COLTON | N/A | 2026-04-30 | 2026-01-01 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9407664656 | N/A | N/A | 12493147 | 2222 | 4802 | 15658255 | N/A | 10669635 | 2025-12-02 01:44:50.636746 | 2026-04-13 22:33:15.662813 |
| 2025-12-01 08:11:32.661617 | 2025-12-02 01:42:23.755539 | 15386980 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 15386980 | override_provider | 1951-12-15 | 2025-12-04 | F | PT | N/A | STYLES | XVL990311433 | SUSAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.175218240.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12835425/check_15386980_52b429d9-9408-40f0-8c7c-0f31c18517c7.json | N/A | N/A | N/A | N/A | N/A | XVL990311433 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1951-12-15 | N/A | N/A | N/A | N/A | false | STYLES | N/A | SUSAN | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9408020691 | N/A | N/A | 12835425 | 2222 | 4801 | 15651573 | N/A | 10999467 | 2025-12-02 01:42:23.755539 | 2025-11-14 21:36:13.911423 |
| 2025-12-01 08:11:29.123212 | 2025-12-02 01:32:32.358333 | 15386821 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 15386821 | Athletic Physical Therapy Inc | 1975-12-22 | 2025-12-03 | M | PT | N/A | HUTH | XEH910929228 | KENT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.172113770.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7626895/check_15386821_abc9a7cf-64c6-4a52-9989-9708004696be.json | N/A | N/A | N/A | N/A | N/A | XEH910929228 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1975-12-22 | 1000HMOX0001 | W0051411 | N/A | HM | false | HUTH | N/A | KENT | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9407666597 | N/A | N/A | 7626895 | 2222 | 4793 | 15642649 | N/A | 6525917 | 2025-12-02 01:32:32.358333 | 2026-05-08 22:53:13.232007 |
| 2025-12-01 08:11:27.818310 | 2025-12-02 01:50:00.189058 | 15386762 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 15386762 | Athletic Physical Therapy Inc | 1960-05-08 | 2025-12-02 | F | AE | PT | ALNOURI | 96982708G | SHARIFEH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171515725.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11508126/check_15386762_510b8d7b-db7a-42f2-879e-e48e0e069c97.json | N/A | N/A | N/A | N/A | N/A | 96982708G | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1960-05-08 | N/A | N/A | N/A | N/A | false | ALNOURI | N/A | SHARIFEH | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407603755 | N/A | N/A | 11508126 | 2222 | 4802 | 15670074 | N/A | 9748914 | 2025-12-02 01:50:00.189058 | 2025-10-27 18:43:47.576827 |
| 2025-12-01 08:11:20.801154 | 2025-12-02 01:45:21.046384 | 15386435 | N/A | N/A | 47027 | Physicians Mutual Insurance Company | 1114042165 | 15386435 | Athletic Physical Therapy Inc | 1949-08-12 | 2025-12-03 | F | AE | PT | NAGLE | H730115547 | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171515725.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11457995/check_15386435_94eb2eac-7b70-45b6-ada8-9e3c583f11c0.json | N/A | N/A | N/A | N/A | N/A | H730115547 | N/A | N/A | PHYSICIANS MUTUAL | PAYMENT NOT GUARANTEED; BENEFITS SUBJECT TO CLAIM APPROVAL | 1949-08-12 | N/A | N/A | N/A | N/A | false | NAGLE | N/A | JAMES | N/A | N/A | N/A | MEDICARE SUPPLEMENT 2020 PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407602844 | N/A | N/A | 11457995 | 2222 | 4801 | 15659500 | N/A | 9707473 | 2025-12-02 01:45:21.046384 | 2026-02-05 20:49:45.747494 |
| 2025-12-01 08:11:13.840738 | 2025-12-02 01:46:42.787255 | 15386147 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15386147 | Athletic Physical Therapy Inc | 1949-05-18 | 2025-12-03 | F | AE | PT | Burk | JQE091A77884 | Celine | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.172312303.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12839894/check_15386147_c2394a29-23b2-400a-9b6f-df5edf3442e8.json | N/A | N/A | N/A | N/A | N/A | JQE091A77884 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1949-05-18 | 040 | CASUPWP0 | N/A | N/A | false | BURK | N/A | CELINE | N/A | 9999-12-31 | 2017-11-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407691537 | N/A | N/A | 12839894 | 2222 | 4802 | 15662794 | N/A | 11004269 | 2025-12-02 01:46:42.787255 | 2025-11-14 23:42:44.614455 |
| 2025-12-01 08:11:13.283358 | 2025-12-02 01:44:03.927583 | 15386129 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15386129 | Athletic Physical Therapy Inc | 1960-10-20 | 2025-12-04 | F | PT | N/A | Gray | JHT641W16198 | Darlene | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.175218240.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12831349/check_15386129_851d2f1e-9f1d-41da-856b-358a0c916ef1.json | N/A | N/A | N/A | N/A | N/A | JHT641W16198 | Preferred Provider Organization (PPO) | TOYO TIRE USA CORP | ANTHEM BLUE CROSS | N/A | 1960-10-20 | 040 | 281954M010 | N/A | PR | false | GRAY | N/A | DARLENE | N/A | 9999-12-31 | 2024-01-08 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9408020663 | N/A | N/A | 12831349 | 2222 | 4793 | 15656232 | N/A | 10995039 | 2025-12-02 01:44:03.927583 | 2025-11-18 17:27:38.722240 |
| 2025-12-01 08:11:01.513686 | 2025-12-02 01:47:58.126668 | 15385597 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15385597 | Athletic Physical Therapy Inc | 1942-02-01 | 2025-12-03 | F | AE | PT | CHANG | JQE101W06364 | QUANG | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171515725.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11159407/check_15385597_c3878730-da86-4c8a-b4de-0ff65b3df5d3.json | N/A | N/A | N/A | N/A | N/A | JQE101W06364 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1942-02-01 | 040 | CASUPWP0 | N/A | N/A | false | CHANG | N/A | QUANG CHAN | N/A | 9999-12-31 | 2021-01-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407603330 | N/A | N/A | 11159407 | 2222 | 4793 | 15665753 | N/A | 9505845 | 2025-12-02 01:47:58.126668 | 2026-04-29 00:06:17.964395 |
| 2025-12-01 08:11:00.959358 | 2025-12-02 01:48:09.176731 | 15385563 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15385563 | Athletic Physical Therapy Inc | 1942-12-02 | 2025-12-03 | M | AE | PT | Lawrence | JOE083M00118 | Harvey | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171515725.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11156182/check_15385563_0ef789d5-b192-4b4e-a370-20e34b0b3982.json | N/A | N/A | N/A | N/A | N/A | JOE083M00118 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1942-12-02 | N/A | N/A | N/A | N/A | false | LAWRENCE | N/A | HARVEY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407603322 | N/A | N/A | 11156182 | 2222 | 4802 | 15666133 | N/A | 9502693 | 2025-12-02 01:48:09.176731 | 2025-12-16 19:10:22.413376 |
| 2025-12-01 08:10:50.150525 | 2025-12-02 03:35:30.144672 | 15384939 | N/A | N/A | SRRGA | Railroad Medicare | 1114042165 | 15384939 | Athletic Physical Therapy Inc | 1977-03-25 | 2025-12-02 | M | AE | PT | BRADBURY | 7HR3VE4QQ94 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171816682.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9557582/check_15384939_a2a64bc6-23f1-4280-bc02-84422ad6d8a2.json | N/A | N/A | N/A | N/A | N/A | 7HR3VE4QQ94 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1977-03-25 | S5617 | N/A | N/A | MB | false | BRADBURY | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407638549 | N/A | N/A | 9557582 | 2222 | 4801 | 15677497 | N/A | 7992729 | 2025-12-02 03:35:30.144672 | 2025-10-01 17:15:45.167667 |
| 2025-12-01 08:10:49.683097 | 2025-12-02 01:47:02.904223 | 15384914 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15384914 | Athletic Physical Therapy Inc | 1949-07-26 | 2025-12-03 | F | AE | PT | BLESSLEY | 40064625701 | DONNA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171515725.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11011920/check_15384914_8f6672f5-cad8-4b7b-8865-8b809ba73e09.json | N/A | N/A | N/A | N/A | N/A | 40064625701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1949-07-26 | 2025H5425001 | H5425M | N/A | N/A | false | BLESSLEY | N/A | DONNA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407602487 | N/A | N/A | 11011920 | 2222 | 4793 | 15663587 | N/A | 9377403 | 2025-12-02 01:47:02.904223 | 2025-10-15 20:29:32.165707 |
| 2025-12-01 08:10:46.687714 | 2025-12-02 03:47:44.429516 | 15384749 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15384749 | Athletic Physical Therapy Inc | 1959-10-03 | 2025-12-02 | F | AE | PT | REED | 2YY5KV0WP59 | SONIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171317360.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542497/check_15384749_056de53b-36f7-4587-babf-a236ec21f442.json | N/A | N/A | N/A | N/A | N/A | 2YY5KV0WP59 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-10-03 | S5617 | N/A | N/A | MA | false | REED | N/A | SONIA | N/A | N/A | N/A | N/A | N/A | 186318 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407585467 | N/A | N/A | 5542497 | 2222 | 4801 | 15682263 | N/A | 4214397 | 2025-12-02 03:47:44.429516 | 2025-05-13 04:29:37.228723 |
| 2025-12-01 08:10:46.449882 | 2025-12-02 03:47:42.846768 | 15384737 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15384737 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-12-02 | M | AE | PT | JAUDE | 8D38EF9GV30 | KARIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171317360.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542251/check_15384737_95a5fe29-53d2-478a-b6ac-853eae48d5bd.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MB | false | JAUDE | N/A | KARIM | N/A | N/A | N/A | N/A | N/A | 241000 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407585466 | N/A | N/A | 5542251 | 2222 | 4802 | 15682253 | N/A | 4214191 | 2025-12-02 03:47:42.846768 | 2025-05-13 04:29:37.228525 |
| 2025-12-01 08:10:46.316220 | 2025-12-02 03:44:52.586548 | 15384731 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15384731 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-12-03 | F | PT | N/A | STEINBERG | MBL988M98459 | JUDY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171317360.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542014/check_15384731_1bb1593a-0513-45a8-b3b3-4590d09acac5.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9407585465 | N/A | N/A | 5542014 | 2222 | 4793 | 15681366 | N/A | 4213977 | 2025-12-02 03:44:52.586548 | 2025-05-13 04:29:37.228294 |
| 2025-12-01 08:10:46.101703 | 2025-12-02 03:42:40.803181 | 15384716 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 15384716 | override_provider | 1957-04-11 | 2025-12-03 | M | PT | N/A | ADRIAN | MBL508W11635 | NELSON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171317360.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541841/check_15384716_f49518d1-b99e-4374-9269-7b9fe9f5f2b6.json | N/A | N/A | N/A | N/A | N/A | MBL508W11635 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | BLUE SHIELD OF CALIFORNIA | N/A | 1957-04-11 | 040 | CAEGR005 | N/A | N/A | false | ADRIAN | N/A | NELSON | N/A | 2025-12-31 | 2022-04-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9407585464 | N/A | N/A | 5541841 | 2222 | 4801 | 15680938 | N/A | 4213826 | 2025-12-02 03:42:40.803181 | 2025-05-13 04:29:37.228146 |
| 2025-12-01 08:10:45.942379 | 2025-12-02 03:47:44.955858 | 15384705 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15384705 | Athletic Physical Therapy Inc | 1949-07-06 | 2025-12-04 | M | AE | PT | SILVERMAN | 1P91CV2QF22 | LAWRENCE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171317360.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541609/check_15384705_980c5e3e-9cf3-4249-b16a-9be884afb46b.json | N/A | N/A | N/A | N/A | N/A | 1P91CV2QF22 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-07-06 | N/A | N/A | N/A | MA | false | SILVERMAN | N/A | LAWRENCE | N/A | N/A | N/A | N/A | N/A | 90055 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407585463 | N/A | N/A | 5541609 | 2222 | 4793 | 15682267 | N/A | 4213611 | 2025-12-02 03:47:44.955858 | 2025-05-13 04:29:37.227938 |
| 2025-12-01 08:10:45.800561 | 2025-12-02 01:47:58.506056 | 15384695 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15384695 | Athletic Physical Therapy Inc | 1953-06-18 | 2025-12-03 | F | AE | PT | REISMAN | WRXA13289369 | GAIL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171515725.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10984907/check_15384695_94deccd4-4256-485c-adac-d5a4296dcc06.json | N/A | N/A | N/A | N/A | N/A | WRXA13289369 | Preferred Provider Organization (PPO) | WRITERS GUILD INDUSTRY HEALTH FUND | MEDICARE B | N/A | 1953-06-18 | 040 | 277242M003 | N/A | PR | false | REISMAN | N/A | MARK | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407602426 | N/A | N/A | 10984907 | 2222 | 4802 | 15665765 | N/A | 9156222 | 2025-12-02 01:47:58.506056 | 2026-01-08 22:56:20.879547 |
| 2025-12-01 08:10:45.757497 | 2025-12-02 03:44:45.898196 | 15384690 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15384690 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-12-04 | M | AE | PT | FARAHMAND | 91957675E | ALEX | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171317360.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541163/check_15384690_9a4caf9a-94af-4ced-abb7-c60d8668ffc5.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | HEALTH NET, LLC | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407585462 | N/A | N/A | 5541163 | 2222 | 4802 | 15681334 | 4625 | 4213207 | 2025-12-02 03:44:45.898196 | 2025-05-13 04:29:37.227536 |
| 2025-12-01 08:10:45.532289 | 2025-12-02 03:53:00.110789 | 15384676 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15384676 | Athletic Physical Therapy Inc | 1955-11-18 | 2025-12-03 | M | AE | PT | MCALPIN | 5W42YGOAH19 | MAC | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171317360.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541072/check_15384676_4d660890-9529-430a-8037-58b3926dc921.json | N/A | N/A | N/A | N/A | N/A | 5W42YGOAH19 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1955-11-18 | N/A | N/A | N/A | N/A | false | MCALPIN | N/A | MAC | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407585461 | N/A | N/A | 5541072 | 2222 | 4801 | 15684603 | N/A | 4213124 | 2025-12-02 03:53:00.110789 | 2025-05-13 04:29:37.227452 |
| 2025-12-01 08:10:45.260560 | 2025-12-02 03:47:43.626942 | 15384664 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15384664 | Athletic Physical Therapy Inc | 1949-12-02 | 2025-12-04 | F | AE | PT | LADEN | 6GY2TG9HX06 | CANDACE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171317360.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540768/check_15384664_22beed42-7512-4e2c-bf28-bd773511ef5d.json | N/A | N/A | N/A | N/A | N/A | 6GY2TG9HX06 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-12-02 | S4802 | N/A | N/A | MB | false | LADEN | N/A | CANDACE | N/A | N/A | N/A | N/A | N/A | 261114 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407585460 | N/A | N/A | 5540768 | 2222 | 4802 | 15682257 | N/A | 4212856 | 2025-12-02 03:47:43.626942 | 2025-08-04 18:33:35.319989 |
| 2025-12-01 08:10:45.091657 | 2025-12-02 03:47:42.053113 | 15384653 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15384653 | Athletic Physical Therapy Inc | 1940-05-13 | 2025-12-02 | F | AE | PT | ALIZADEH GHARBAGHI | 6AX8PH3NH43 | TOURAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171317360.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540531/check_15384653_93211853-41f1-4b1c-acc9-1c4dad96453c.json | N/A | N/A | N/A | N/A | N/A | 6AX8PH3NH43 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-05-13 | S5617 | N/A | N/A | MB | false | ALIZADEH GHARBAGHI | N/A | TOURAN | N/A | N/A | N/A | N/A | N/A | 241000 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407585459 | N/A | N/A | 5540531 | 2222 | 4802 | 15682247 | N/A | 4212676 | 2025-12-02 03:47:42.053113 | 2025-07-03 21:09:02.193065 |
| 2025-12-01 08:10:44.938599 | 2025-12-02 03:47:41.780355 | 15384644 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15384644 | Athletic Physical Therapy Inc | 1954-06-15 | 2025-12-02 | F | AE | PT | ADIB | 1TJ9E76RP17 | JILA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171317360.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540303/check_15384644_c9afa77f-1e7c-4f3a-8816-2b1e94e7a1e7.json | N/A | N/A | N/A | N/A | N/A | 1TJ9E76RP17 | Medicare Part B | N/A | ACCESS GENERALINSUR COMP | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-06-15 | S4802 | DOL 10302012 | N/A | MB | false | ADIB | N/A | JILA | N/A | N/A | N/A | N/A | N/A | 241000 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407585458 | N/A | N/A | 5540303 | 2222 | 4801 | 15682245 | N/A | 4212486 | 2025-12-02 03:47:41.780355 | 2025-09-30 02:32:14.808821 |
| 2025-12-01 08:10:44.772464 | 2025-12-02 03:44:31.519990 | 15384633 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15384633 | Athletic Physical Therapy Inc | 1948-04-26 | 2025-12-03 | M | AE | PT | LODIN | 40064763401 | MOHAMMED | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171317360.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540259/check_15384633_f0767ce3-e747-42dd-b10c-a2ee77381cde.json | N/A | N/A | N/A | N/A | N/A | 40064763401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1948-04-26 | 2025H5425001 | H5425M | N/A | N/A | false | LODIN | N/A | MOHAMMED | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407585457 | N/A | N/A | 5540259 | 2222 | 4793 | 15681279 | 6237 | 4212442 | 2025-12-02 03:44:31.519990 | 2025-05-13 04:29:37.226772 |
| 2025-12-01 08:10:44.574372 | 2025-12-02 03:44:52.324662 | 15384624 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15384624 | Athletic Physical Therapy Inc | 2011-01-19 | 2025-12-04 | M | PT | N/A | CHELIUS | JXN662A51170 | CADEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171317360.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539929/check_15384624_797ab45c-4809-4144-8a65-58d5b6d97527.json | N/A | N/A | N/A | N/A | N/A | JXN662A51170 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 2011-01-19 | 040 | 174222M9A1 | N/A | PR | false | CHELIUS | N/A | CRAIG | N/A | 9999-12-31 | 2021-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9407585456 | N/A | N/A | 5539929 | 2222 | 4793 | 15681365 | N/A | 4212158 | 2025-12-02 03:44:52.324662 | 2025-10-22 16:00:14.919111 |
| 2025-12-01 08:10:44.399788 | 2025-12-02 03:45:19.558651 | 15384611 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15384611 | Athletic Physical Therapy Inc | 1983-08-31 | 2025-12-04 | M | PT | N/A | FLEMING | SZF839281184 | CHASE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171317360.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539901/check_15384611_7ae281c3-f719-4b05-931d-42aca264d4c7.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | Preferred Provider Organization (PPO) | ACTIVE | BLUE SHIELD OF CALIFORNIA | N/A | 1983-08-31 | N/A | 018137 | N/A | PR | false | FLEMING | N/A | CHASE | N/A | 9999-12-31 | 2021-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9407585455 | N/A | N/A | 5539901 | 2222 | 4793 | 15681468 | N/A | 4212134 | 2025-12-02 03:45:19.558651 | 2025-08-05 02:56:55.384378 |
| 2025-12-01 08:10:43.935730 | 2025-12-02 03:44:30.974060 | 15384586 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15384586 | Athletic Physical Therapy Inc | 1939-12-29 | 2025-12-04 | F | AE | PT | ALESSI | 31019902301 | JEAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171317360.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539133/check_15384586_18c5ca6a-03c6-486c-a31a-3ac292422cd1.json | N/A | N/A | N/A | N/A | N/A | 31019902301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1939-12-29 | 2025H5425001 | H5425M | N/A | N/A | false | ALESSI | N/A | JEAN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407585454 | N/A | N/A | 5539133 | 2222 | 4793 | 15681276 | N/A | 4211471 | 2025-12-02 03:44:30.974060 | 2025-07-09 03:59:33.308587 |
| 2025-12-01 08:10:43.273694 | 2025-12-02 03:45:20.163527 | 15384540 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15384540 | Athletic Physical Therapy Inc | 1961-12-01 | 2025-12-04 | M | PT | N/A | TOOCH | JPU633M84536 | PETER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171317360.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538874/check_15384540_164f4eed-2640-43b8-9748-847205506c16.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9407585453 | N/A | N/A | 5538874 | 2222 | 4801 | 15681470 | N/A | 4211227 | 2025-12-02 03:45:20.163527 | 2025-05-13 04:29:37.225625 |
| 2025-12-01 08:10:43.004419 | 2025-12-02 03:44:31.246786 | 15384518 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15384518 | Athletic Physical Therapy Inc | 1951-08-02 | 2025-12-04 | M | AE | PT | CHADIDA | 40060913601 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171317360.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538674/check_15384518_41f2d300-2a3e-4d58-ab57-ce05072067c2.json | N/A | N/A | N/A | N/A | N/A | 40060913601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-08-02 | 2025H5425001 | H5425M | N/A | N/A | false | CHADIDA | N/A | DAVID | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407585452 | N/A | N/A | 5538674 | 2222 | 4793 | 15681278 | 6237 | 4211039 | 2025-12-02 03:44:31.246786 | 2025-05-13 04:29:37.225444 |
| 2025-12-01 08:10:42.826456 | 2025-12-02 03:47:42.545367 | 15384509 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15384509 | Athletic Physical Therapy Inc | 1954-01-12 | 2025-12-02 | F | AE | PT | FINCH | 3YV4XM6FP06 | DAWN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171317360.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538472/check_15384509_ccdd37b5-1df8-49d9-bff1-da1505b4dfd7.json | N/A | N/A | N/A | N/A | N/A | 3YV4XM6FP06 | Medicare Part A | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-12 | S8841 | N/A | N/A | MA | false | FINCH | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | 191892 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407585451 | N/A | N/A | 5538472 | 2222 | 4802 | 15682251 | N/A | 4210886 | 2025-12-02 03:47:42.545367 | 2025-05-13 04:29:37.225284 |
| 2025-12-01 08:10:42.663677 | 2025-12-02 03:47:43.890806 | 15384498 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15384498 | Athletic Physical Therapy Inc | 1958-02-17 | 2025-12-04 | F | AE | PT | MASATANI | 8A21NQ8MC22 | LAURA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171317360.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538406/check_15384498_8ef1e24f-abf7-47c1-806d-37ab3191f9df.json | N/A | N/A | N/A | N/A | N/A | 8A21NQ8MC22 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-02-17 | N/A | N/A | N/A | MB | false | MASATANI | N/A | LAURA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407585450 | N/A | N/A | 5538406 | 2222 | 4802 | 15682260 | N/A | 4210838 | 2025-12-02 03:47:43.890806 | 2025-05-13 04:29:37.225242 |
| 2025-12-01 08:10:42.456175 | 2025-12-02 03:47:45.188146 | 15384487 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15384487 | Athletic Physical Therapy Inc | 1947-01-11 | 2025-12-02 | F | AE | PT | STROM | 1NH2KJ7FT00 | YOLANDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171317360.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538182/check_15384487_f20cb5e7-3bfe-461f-aa43-2636ad7015fb.json | N/A | N/A | N/A | N/A | N/A | 1NH2KJ7FT00 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-01-11 | S5921 | N/A | N/A | MA | false | STROM | N/A | YOLANDA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407585449 | N/A | N/A | 5538182 | 2222 | 4802 | 15682269 | N/A | 4210637 | 2025-12-02 03:47:45.188146 | 2025-05-13 04:29:37.225051 |
| 2025-12-01 08:10:42.285962 | 2025-12-02 03:44:52.046912 | 15384479 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15384479 | Athletic Physical Therapy Inc | 1975-05-16 | 2025-12-04 | F | PT | N/A | BERRY | GGS142A51835 | LEANNE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171317360.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536701/check_15384479_59a17a73-51e1-4c0e-bd02-120a84c3e140.json | N/A | N/A | N/A | N/A | N/A | GGS142A51835 | Preferred Provider Organization (PPO) | GOOGLE PPO | ANTHEM BLUE CROSS | N/A | 1975-05-16 | 040 | 174134M2A1 | N/A | PR | false | BERRY | N/A | CRAIG | N/A | 9999-12-31 | 2017-01-01 | BC PPO INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9407585448 | N/A | N/A | 5536701 | 2222 | 4802 | 15681363 | N/A | 4209398 | 2025-12-02 03:44:52.046912 | 2025-11-05 08:20:15.147573 |
| 2025-12-01 08:10:42.071819 | 2025-12-02 03:47:42.295393 | 15384467 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15384467 | Athletic Physical Therapy Inc | 1948-07-13 | 2025-12-02 | M | AE | PT | DENNIS | 8ME0Y56JD14 | CECIL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171317360.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536377/check_15384467_c6289b63-f1fb-4119-b3c0-c4246c85ba72.json | N/A | N/A | N/A | N/A | N/A | 8ME0Y56JD14 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-13 | S5921 | N/A | N/A | MB | false | DENNIS | N/A | CECIL | N/A | N/A | N/A | N/A | N/A | 29767 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407585447 | N/A | N/A | 5536377 | 2222 | 4801 | 15682249 | N/A | 4209131 | 2025-12-02 03:47:42.295393 | 2025-09-25 15:49:36.327996 |
| 2025-12-01 08:10:41.890797 | 2025-12-02 03:47:44.696127 | 15384457 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15384457 | Athletic Physical Therapy Inc | 1946-08-26 | 2025-12-02 | M | AE | PT | ROTHMAN | 6H65JC7UD67 | MIKE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171317360.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536194/check_15384457_00c0fefd-dbe9-480a-ab92-bc538b4bafdd.json | N/A | N/A | N/A | N/A | N/A | 6H65JC7UD67 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-08-26 | S4802 | N/A | N/A | MA | false | ROTHMAN | N/A | MIKE | N/A | N/A | N/A | N/A | N/A | 138920 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407585446 | N/A | N/A | 5536194 | 2222 | 4801 | 15682265 | N/A | 4208978 | 2025-12-02 03:47:44.696127 | 2025-05-13 04:29:37.223404 |
| 2025-12-01 08:10:41.618245 | 2025-12-02 03:47:43.316370 | 15384438 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15384438 | Athletic Physical Therapy Inc | 1945-09-15 | 2025-12-04 | F | AE | PT | KHORSANDI | 3CF4YQ5UH79 | PARIVASH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171317360.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536010/check_15384438_eb4f48f5-fdc3-493d-8a15-e6cd0eaf0253.json | N/A | N/A | N/A | N/A | N/A | 3CF4YQ5UH79 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-09-15 | S5921 | N/A | N/A | MA | false | KHORSANDI | N/A | PARIVASH | N/A | N/A | N/A | N/A | N/A | 181010 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407585445 | N/A | N/A | 5536010 | 2222 | 4802 | 15682255 | N/A | 4208831 | 2025-12-02 03:47:43.316370 | 2025-10-30 22:42:31.399473 |
| 2025-12-01 08:10:41.236581 | 2025-12-02 03:47:45.455289 | 15384413 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15384413 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-12-03 | M | AE | PT | ULLMAN | 3A76X26KQ40 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171317360.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535838/check_15384413_35881e66-e6a0-4980-91a3-a93ef22c93a5.json | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407585444 | N/A | N/A | 5535838 | 2222 | 4801 | 15682271 | N/A | 4208696 | 2025-12-02 03:47:45.455289 | 2025-06-07 16:16:45.844566 |
| 2025-12-01 08:10:41.072031 | 2025-12-02 03:47:44.144587 | 15384400 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15384400 | Athletic Physical Therapy Inc | 1939-10-22 | 2025-12-04 | M | AE | PT | ODONNELL | 9FJ2YV1NR89 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171317360.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535491/check_15384400_ec316e82-c885-40c4-9302-f5a0b00936eb.json | N/A | N/A | N/A | N/A | N/A | 9FJ2YV1NR89 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-10-22 | N/A | N/A | N/A | MB | false | ODONNELL | N/A | JOHN | N/A | N/A | N/A | N/A | N/A | 219276 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407585443 | N/A | N/A | 5535491 | 2222 | 4802 | 15682261 | N/A | 4208408 | 2025-12-02 03:47:44.144587 | 2025-05-13 04:29:37.222823 |